GOGETA
I'm Dr. GOGETA
Topics: 300
Posts: 2,640
|
Hey is imortant that leg stuff of leg calves pertis and capiti picify and other leg stuff?
thanks
and if you can explain them will be a +
___________________
As a general rule, the better it felt when you said it, the more trouble it's going to get you into.
|
| DrVirgo
Forum Hero
Topics: 1042
Posts: 3,344
|
It IS important -Its also explained in Kap Surgery -Orthopedics very well...
Which ones do you want to discuss?
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
| GOGETA
I'm Dr. GOGETA
Topics: 300
Posts: 2,640
|
I do not have surgery books so go mahead an talk about ALL the leg pediatric stuff.
Thanks 
___________________
As a general rule, the better it felt when you said it, the more trouble it's going to get you into.
|
| DrVirgo
Forum Hero
Topics: 1042
Posts: 3,344
|
Do you have the Kap Peds Book? its all in the ortho chapter there too..
Well anyway, here's a quick review -I like to think of them by age groups (it helps)
Newborn -
1. Clubfoot (Talipies Equinovarus) Tr: serial casting and surgery
2. Developmental Dysplasia of the Hip -Easily dislocated with a jerk and click and brought back to normal with a snap. NO X-Ray because hip is not yet calcified. DO U/S -it's diagnostic. Tr: Abduction splinting with a Pavlik harness for approx. 6 months.
*Note: Hip pain can show up as Knee pain, but NOT the other way aruond.
Toddler -
Septic Hip
Its an EMERGENCY
Usually after a febrile illness, and the baby refuses to move the hip.
Increased ESR, DX: aspirate the hip and open drainage if pus is obtained
4-12 year olds -
Legg-Calve-Perthes aka Legg-Perthes aka Avascular Necrosis of the Capital Femoral Epiphysis (and I hope there are no other names for it!)
-like the name suggests: it's avascular necrosis of the femoral head
-insidious onset, pain, limping, and decreased motion.
-worsened by moving, better with rest
-Dx: AP and lateral hip or frog leg X-ray.
-Tr: Controversial... but they say Maintain joint mobility,
According to UW: if <5y/o: NO treatment, and if >5y/o: Abduction bracing or Surgical Corretion.
Teenager -
1. Slipped capital femoral epiphysis: (think of an obese or lanky teen)
-An emergency
-groin or knee pain
-limited hip motion
-Dx: X-Ray
Tr: surgical -pin the head back in place
2. Osgood Schlatter disease (Osteochondrosis if the tibial tubercle)
-as the name suggests: pain over the tibial tubercle
-Tr: immobilize with an extension or cylinder cast
3. Scoliosis
-adolescent girls -more common
-spine is curved
-look from behind when she bends over and you will notice a hump over one side of the thorax
-Tr: Bracing -will help arrest progression; surgery only in severe cases
--Any others, GOGETA?
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
| GOGETA
I'm Dr. GOGETA
Topics: 300
Posts: 2,640
|
Thanks men, I do not have any peds book, only underground clinical vignetes for pediatrics
___________________
As a general rule, the better it felt when you said it, the more trouble it's going to get you into.
|
|
| |
| | | | | |
